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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES I ADDITIONS <br /> Address: 125 ]�0►\pdt2_ Traces Permit No.: •017 - ouor <br /> Description of work: hi tAg. k-s• Date Rec'd: I 1-'L.(0 4-1 <br /> Septic review by:_ , (7 /i', 7i _ Date Approved: / 1(7/8 <br /> (' HI l <br /> o <br /> Zoning review by: ( o• ' '' Date Approved: <br /> v <br /> Building review by: .,(/-� Date Approved: ,'4,1'9 <br /> Grading review by: 1 = aiWant j ail Date Approved: j1--'Za•C-1 <br /> Zoning District: iu- If) Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution / NA <br /> `1`t j <br /> Zoning: Lot Area: 2, SF AC Width: Structural Coverage: SF % <br /> Survey Submitted: es D No Date of Survey: 12-'2(.p '�1 Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: A3 JY WVA(V\ D No/ None proposed <br /> Proposed Setbacks: <br /> Front(L Rear(Str ( NS E ) ( N S E ) Other Buildings Wetland <br /> iW <br /> de Side <br /> 9r t 4o' 35' vu ' <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See"building height" <br /> definition): (a) 2-(0,00 <br /> First Floor Elevation (from building plans): (b) qq(,,L <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (c) n iaq <br /> whichever is lower: `� <br /> Difference between (b) and (c)*: (d) 3,, <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) 29.7 <br /> -grad .. <br /> e-is- _.lo -F- - <br /> FE- Heiglit-is-(a) I <br /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit Met? Bluff <br /> 0 Yes No Permit Number: 11 -Liii5 0 Yes 0 No �N/A 0 Yes ZrNo <br /> 0 N/A-see attached , Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf1 <br /> �t <br /> 0 Yes yNo 0 Yes o <br /> 1 2 3 4 5 I v rt- . Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />